Individual
ALBERT KENNETH JABBOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
9500 BONITA BEACH RD SE STE 100, BONITA SPRINGS, FL 34135-4698
(239) 498-9294
(239) 798-7179
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
(239) 798-7179
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
516
WV
363AM0700X
Medical Physician Assistant
PA9117096
FL
Other
Enumeration date
04/12/2007
Last updated
02/20/2025
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